Rodriguez, Jeannine

Rodriguez, Jeannine is an sole proprietor health care provider with primary practice located at 21101 Dale Evans Pkwy , Apple Valley CA 92307-9356. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rodriguez, Jeannine can be contacted via phone (760) 961-6766.

Contact Information

Primary practice address
21101 Dale Evans Pkwy Apple Valley CA 92307-9356
Phone: (760) 961-6766
Fax: (760) 961-6717
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X ASW 17034 California

Profile Details

NPI number 1629268115
LBN Legal business name Rodriguez, Jeannine
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2007
Last updated Jul 31st, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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